Impact of the COVID-19 pandemic on cancer care in Ireland - Perspectives from a COVID-19 and Cancer Working Group

Seamus O'Reilly, Hailey Kathryn Carroll, Deirdre Murray, Louise Burke, Triona McCarthy, Robert O'Connor, Claire Kilty, Sonya Lynch, Jennifer Feighan, Maeve Cloherty, Patricia Fitzpatrick, Katrina Falvey, Verena Murphy, Mary Jane O'Leary, Sophie Gregg, Leonie Young, Eilish McAuliffe, Josephine Hegarty, Anna Gavin, Mark LawlerPaul Kavanagh, Susan Spillane, Terry McWade, Mairead Heffron, Karen Ryan, Paul Kelly, Aileen Murphy, Mark Corrigan, H Paul Redmond, Patrick Redmond, Paul Walsh, Paula Tierney, Mengyang Zhang, Kathleen Bennett, Maeve Mullooly

Research output: Contribution to journalReview articlepeer-review

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Abstract

Upon the COVID-19 pandemic onset in Ireland, cancer service disruptions occurred due to prioritisation of COVID-19 related care, redeployment of staff, initial pausing of screening, diagnostic, medical and surgical oncology procedures, staff shortages due to COVID-19 infection and impacts on the physical and mental health of cancer healthcare workers. This was coupled with reluctance among people with symptoms suspicious for cancer to attend for clinical evaluation, due to concerns of contracting the virus. This was further compounded by a cyber-attack on national health service IT systems on May 14th 2021. The Irish Cancer Society, a national cancer charity with a role in advocacy, research and patient supports, convened a multi-disciplinary stakeholder group (COVID-19 and Cancer Working Group) to reflect on and understand the impact of the pandemic on cancer patients and services in Ireland, and discuss potential mitigation strategies. Perspectives on experiences were gathered across domains including timeliness of data acquisition and its conversion into intelligence, and the resourcing of cancer care to address cancer service impacts. The group highlighted aspects for future research to understand the long-term pandemic impact on cancer outcomes, while also highlighting potential strategies to support cancer services, build resilience and address delayed diagnosis. Additional measures include the need for cancer workforce recruitment and retention, increased mental health supports for both patients and oncology professionals, improvements to public health messaging, near real-time multimodal national cancer database, and robust digital and physical infrastructure to mitigate impacts of the current pandemic and future challenges to cancer care systems.

Original languageEnglish
Article number100414
JournalJournal of Cancer Policy
Early online date23 Feb 2023
DOIs
Publication statusEarly online date - 23 Feb 2023

Bibliographical note

Copyright © 2023. Published by Elsevier Ltd.

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